Mixed Germ Cell Tumor of Testis with Isolated Scapular Metastasis: A Case Report and Review of the Literature

Case Reports in Urology
Dipti Rani SamantaSurendra Nath Senapati

Abstract

Bone metastasis is a rare entity in germ cell tumor of testis and is a poor prognostic site. It is usually associated with synchronous metastasis at other sites. Till now very few cases of isolated bone metastasis of germ cell tumor of testis have been reported but none have reported scapular metastasis. We are reporting a case of nonseminomatous germ cell tumor of right testis that was operated eight months ago and now presented with isolated scapular metastasis. Histopathology of the scapular tissue revealed rhabdomyosarcoma or poorly differentiated synovial sarcoma. Immunohistochemistry with serum markers concluded it to be metastatic germ cell tumor. To the best of our knowledge this is the first reported case of scapular metastasis of testicular germ cell tumor. This case is being reported here due to dilemmatic way of presentation and also to emphasize that histopathology may sometimes misguide and immunohistochemistry is necessary in such cases.

References

Dec 1, 1988·British Journal of Cancer·R N HitchinsK D Bagshawe
Mar 1, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·J A ChristianA Horwich
Sep 20, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·G Varuni KondaguntaRobert J Motzer
Apr 10, 2010·International Journal of Urology : Official Journal of the Japanese Urological Association·Cyrus ChargariLionel Védrine
Jun 21, 2011·CA: a Cancer Journal for Clinicians·Rebecca SiegelAhmedin Jemal
Jun 26, 2013·BJU International·Mariam Jamal-HanjaniSimon Chowdhury

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BETA
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